Programs of All-Inclusive Care for the Elderly Martha Hennessy - - PowerPoint PPT Presentation

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Jun 03, 2023 323 likes •427 views

Programs of All-Inclusive Care for the Elderly Martha Hennessy Deputy Director Division of Medicare Advantage Operations Medicare Drug & Health Plan Contract Administration Group Centers for Medicare & Medicaid Services Moving the

SLIDE 1

Programs of All-Inclusive Care for the Elderly

Martha Hennessy

Deputy Director Division of Medicare Advantage Operations Medicare Drug & Health Plan Contract Administration Group Centers for Medicare & Medicaid Services

SLIDE 2

Moving the PACE program forward

Proposing revisions to the PACE regulations
Automating the application process
Streamlining the waiver submission process
Allowing for-profit organizations
Quality Reporting
Revising the PACE marketing guidelines
Revising the audit process

SLIDE 3

PACE Regulations

CMS goals in revising the regulations

– Provide greater operational flexibility – Improve access to community-based providers – Restructure and clarify processes such as sanctions, enforcement and terminations – Provide flexibility in the composition of the IDT – Provide flexibility related to CMS monitoring

SLIDE 4

ePACE

Initial applications are now submitted

through HPMS

Streamlined the application with the use
f attestations that applicants will

comply with the PACE regulations

Expand the automated process for

Service Area Expansion applications later this year

SLIDE 5

Waiver Submissions

Recently streamlined the process for

requesting waivers of regulatory requirements

POs must still meet the essential elements of

PACE and comply with existing state laws and requirements

CMS is exploring options to automate the

waiver submission and review process

SLIDE 6

For-Profit PACE

Report to Congress issued May 2015
For-profit demos transitioned to

permanent provider status

Conversion requests

SLIDE 7

Quality Reporting

Working to improve data collection with

recent modifications to the HPMS reporting module for Level I data elements

Expanding the HPMS module to capture Level

II data

Working with Econometric to adapt existing

quality measures for use in the PACE program

SLIDE 8

Marketing and Audits

Updating the PACE Marketing

Guidelines which will be released in the near future for public comment

Implementing a new PACE marketing

module in HPMS. Watch for information on training to be held on April 13th at 2:00pm ET

Revising the audit process

SLIDE 9

Improving Communications

Use of DMAO Portal to assure

consistency in our responses as well as identify any areas where our guidance may need clarification

CMS wide effort to clarify whether HPMS

guidance and memos apply to PACE

SLIDE 10